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Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
SUCAT1What is the category of the substance used?Substance Use CategoryRecord the recreational product  category, if not pre-printed on the CRF.TextSUCATRecreational


DrugsRECREATIONAL PRODUCTS 


SUYN2Were any recreational drugs products used?Any Recreational Drugs Product UsedIndicate if the subject had used any recreational drugs.TextN/ASUSTAT = "NOT DONE" and SUTRT =Recreational Product  where SUYN = "NOT DONE"  and SUTRT =Reactionall  (NY)Yes; No; Not Done



SUREASND3What was the reason the recreational drug product use was NOT DONE. Reason  Reason Not DoneRecord the reason recreation  recreational  product use was not collected. 

SUREASND where SUTRT =SUREASND 





SUTRT4What was the recreational drug product used?Type of Recreational Drug Product UsedRecord the name of the recreational drug used.each reactional product used on a new line. TextSUTRT

Alcohol; Tobacco; Marijuana. Hallucinogen Drugs; Non-medical  prescription drugs use; Stimulants; OTher 






SUNCF5Does the subject use the recreational drugsproducts?UsageCheck the appropriate box to indicate if the subject currently or formerly used recreational drugs.TextSUOCCUR;  SUSTRTPT;  SUSTRF;  SUENRTPT;  SUENRFSUOCCUR = "Y" WHEN SUNCF = "CURRENT".  SUOCCUR = "Y" WHEN SUNCF = "FORMER".(NCF)Current; Former
Prompt

SUDSTXT6What was the amount of recreational drug product used?AmountIndicate the amount of recreational drugs the subject consumes on a regular basis.TextSUDOSE; SUDOSTXT






SUDOSFRQ7What was the frequency of recreational drug product use?FrequencyRecord how often the subject regularly uses recreational drugs.TextSUDOSFRQ
(FREQ)QD; EVERY WEEK; QM; PA
Prompt

SUCDUR8What was the duration of recreational drug product use consumption?DurationProvide the duration of the substance recreational product  use (e.g., how long the subject has smoked).used the  recreational product) TextSUDUR



Prompt

SUCDURU9What was the unit of duration of recreational drug product use?UnitSelect the appropriate duration unit of the substance recreational product use.TextSUDUR
(UNIT)DAYS; MONTHS; YEARS
Prompt

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Dataset wrap
NameSU
Rowcaps
Row 1 Shows that the subject was using cigarettes before the baseline visit and  was expected to continue to use cigarettes after the baseline visit, The baseline visit occurred on 2006-01-01.  . This is represented using  SUSTTPT, SUSTRTPT,  SUENTPT and  SUENRTPT.  
Row 2Shows the subject uses marijuana starting in 2002 and stopped using it on the day of the baseline visit.   
Rows Row 3-5:Show 3 records for a subject who completed 3 stages of the study ("SCREENING", "TREATMENT", "FOLLOW-UP")Subject 1234006 is a former smoker. The date this subject began smoking is unknown, but it was sometime before the assessment date; this is shown by the values of SUSTTPT and SUSTRTPT. The end date of smoking was collected, so SUENTPT and SUENRTPT are not populated. Instead, the end date is in SUENDTC.
Rows 4 & 5:Show the subjects had missing data for the usage of recreational products; this is indicated by SUSTAT = "NOT DONE". The reason is in SUREASND.
Dataset2
tableidSU

Row

STUDYID

DOMAIN

USUBJID

SUSEQ

SUTRT

SUCAT

SUOCCUR

SUSTAT

SUREASND

SUDOSE

SUDOSU

SUDOSFRQ

SUSTDTC

SUENDTC

SUSTTPT

SUSTRTPT

SUENTPT

SUENRTPT

11234SU12340051CIGARETTESRECREATIONAL PRODUCTY

2PACKQD

2006-01-01BEFORE2006-01-01ONGOING
21234SU12340052COFFEEMARIJUNA RECREATIONAL PRODUCTY3CUPQD




2002 2006-01-01



31234SU12340061CIGARETTESRECREATIONAL PRODUCTY

1PACKQD
20032006-03-15BEFORE

641234SU12340071RECREATIONAL PRODUCTRECREATIONAL PRODUCT
NOT DONESubject left office before CRF was completed








751234SU12340072RECREATIONAL PRODUCTRECREATIONAL PRODUCT
NOT DONESubject left office before CRF was completed










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